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Annals of Vascular Surgery

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https://www.readbyqxmd.com/read/28916306/end-to-side-versus-side-to-side-anastomosis-in-upper-limb-arteriovenous-fistula-for-dialysis-access-a-systematic-review-and-a-meta-analysis
#1
Khalid Bashar, Mekki Medani, Hiba Bashar, Khalid Ahmed, Thomas Aherne, Tony Moloney, Stewart R Walsh
OBJECTIVES: To systematically assess the difference between both procedures in terms of access maturation, patency and postoperative complications. BACKGROUND: An arteriovenous fistula (AVF) is the best modality for haemodialysis (HD) access. The end-to-side (ETS) technique has been suggested in the literature to produce superior results to the side-to-side approach; however, in the absence of a systematic review, this practice remains debatable. METHODS: Online search for randomised controlled trials (RCTs) and observational studies that compared the end-to-side versus the side-to-side anastomosis techniques in creating an upper limb AVF...
September 12, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28916305/unusual-causes-of-venous-thrombosis-bladder-distension-and-uterine-mass
#2
Michael L Caparelli, Sepehr Lalezari, Steven Perlman
Thrombosis of the inferior vena cava (IVC) continues to be a rare event and there is a scarcity of evidence with regard to its etiology. One source for IVC thrombosis is external compression from adjacent structures. In this case series we present one case of IVC thrombosis caused by a severely distended bladder and a case of external iliac thrombosis caused by external compression from an abnormally enlarged uterus. The treatment of each case is varied and included novel oral anticoagulation (NOAC), catheter-directed thrombolysis in conjunction with mechanical thrombectomy, or a combination of these...
September 12, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28916304/rationale-and-design-of-the-arrest-trial-investigating-mesenchymal-stem-cells-in-the-treatment-of-small-aaa
#3
S Keisin Wang, Linden A Green, Ashley R Gutwein, Natalie A Drucker, Raghu L Motaganahalli, Andres Fajardo, Clifford C Babbey, Michael P Murphy
BACKGROUND: Abdominal aortic aneurysms (AAA) are a major source of morbidity and mortality despite continuing advances in surgical technique and care. Although the inciting factors for AAA development continue to be elusive, accumulating evidence suggests a significant peri-aortic inflammatory response leading to degradation and dilation of the aortic wall. Previous human trials have demonstrated safety and efficacy of mesenchymal stem cells (MSCs) in the treatment of inflammation-related pathologies such as rheumatoid arthritis, graft vs host disease, and transplant rejection...
September 12, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28911964/adventitial-cystic-disease-complicated-and-uncomplicated
#4
Jonathan Lezotte, Quynh P Le, Charles Shanley, Sachinder Hans
Three cases of adventitial cystic disease of popliteal artery are reported; one complicated with associated thrombosis of the popliteal artery and two uncomplicated. Operative management and follow-up is described.
September 11, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28911963/evolution-of-computed-tomography-imaging-the-first-year-after-endovascular-sealing-of-infrarenal-aortic-aneurysms-using-the-nellix-device
#5
Leo H van den Ham, Thijs G Ter Mors, Johannes T Boersen, Jean Paul P M de Vries, Patrick W Vriens, Jan M Heyligers, Michel M P J Reijnen
INTRODUCTION: The Nellix Endovascular Aneurysm Sealing (EVAS) System is an alternative endovascular treatment option for infrarenal aortic aneurysms (AAA) with a unique appearance on Computed Tomography Angiography (CTA). Normal evolution of post-EVAS CTA appearance follow-up is still largely unknown and important in order to timely detect eventual complications. OBJECTIVE: To assess the normal appearance of CTA images 30 days and 1 year after EVAS in 50 consecutive patients...
September 11, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893712/single-session-percutaneous-endovascular-mesocaval-shunt-creation-and-balloon-occluded-retrograde-transvenous-obliteration-for-the-treatment-of-gastric-varices
#6
Ravi Nara Srinivasa, Bill S Majdalany, Jeffrey Forris Beecham Chick, J Matthew Meadows, Jordan Bruce Fenlon, Charles Brewerton, Wael E Saad
In the setting of portal hypertension, the body responds by creating portosystemic venous shunts which may lead to the development of varices. Endoscopic treatment of these varices is often warranted to prevent catastrophic bleeding. During the course of variceal treatment, one or more portosystemic shunts may be sacrificed which may acutely exacerbate portal hypertension and reduce systemic venous return. This report describes percutaneous creation of a mesocaval shunt and balloon-occluded retrograde transvenous obliteration (BRTO) in a patient with cavernous transformation of the portal vein...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893711/supervised-exercise-therapy-for-intermittent-claudication-is-increasingly-endorsed-by-dutch-vascular-surgeons
#7
David Hageman, Gert-Jan Lauret, Lindy N M Gommans, Mark J W Koelemay, Marc R H M van Sambeek, Marc R M Scheltinga, Joep A W Teijink
INTRODUCTION: Although supervised exercise therapy (SET) is generally accepted as an effective noninvasive treatment for intermittent claudication (IC), Dutch vascular surgeons were initially somewhat hesitant as reported by a 2011 questionnaire study. Later on, a nationwide multidisciplinary network for SET was introduced in the Netherlands. The aim of this questionnaire study was to determine possible trends in conceptions among Dutch vascular surgeons regarding the prescription of SET...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893710/user-preferences-for-mobile-health-interventions-a-survey-among-intermittent-claudication-patients-and-their-physical-therapists
#8
Marijn Ml van den Houten, Steffie Spruijt, Hugo Jp Fokkenrood, Marc Rm Scheltinga, Joep Aw Teijink
OBJECTIVES: Smartphone apps provide novel ways of triggering lifestyle-change by coupling objective measurements of health behavior with tailored feedback. Little is known about end-user preferences regarding the content of mobile health (mHealth) interventions. The aim of this study was to assess smartphone use and preferences regarding app-content among intermittent claudication patients and their treating physical therapists. METHODS: A cross-sectional survey was sent via an internal email system to 1514 physical therapists specialized in treating patients with intermittent claudication...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893709/novel-application-of-branched-endograft-for-preservation-of-pelvic-circulation
#9
Roy Miler, Jeanwan Kang, Patrick Sowa, Matthew Eagleton, F Ezequiel Parodi
INTRODUCTION/OBJECTIVES: Endovascular repair of a proximal anastomotic pseudoaneurysm of an end-to-side aortobifemoral bypass (ABF) can lead to pelvic ischemia. We present a novel application of branched aortic endograft to repair such pseudoaneurysm while preserving flow into the ABF and native aortoiliac system. METHODS: A 71 year old male with history of aortoiliac occlusive disease resulting in lifestyle limiting claudication was treated with an aortobifemoral bypass in 1999...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893708/ex-vivo-reconstruction-and-autotransplantation-for-hilar-renal-artery-aneurysms-in-patients-with-congenital-anomalies
#10
Jaiyeola Adeyemi, Jacob Johnson, Yevgeniy Rits, A George Akingba, Jeffrey Rubin
Renal artery aneurysms (RAAs) are an uncommon finding but are more often associated with other congenital disorders. The complex (hilar) RAAs constitute a subset of RAAs that present a therapeutic dilemma for the vascular surgeon; because of their anatomic location. This dilemma worsens when hilar RAAs occur with a solitary kidney where organ preservation is vital. Ex-vivo reconstruction with autotransplantation is especially suitable for hilar RAAs, even when they are associated with a solitary kidney. We report two of such cases of RAA's with a solitary kidney in patients with pertinent congenital anomalies...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893707/endovascular-aorto-iliac-revascularization-in-a-patient-with-spinal-cord-injury-and-hip-contracture
#11
Naixin Kang, Stefan Kenel-Pierre, Hilene DeAmorim, John Karwowski, Arash Bornak
Treatment of chronic peripheral ischemic wounds in patients with spinal cord injury (SCI) can be technically challenging, especially if they have significant hip contracture. This paper describes the endovascular aorto-iliac revascularization of a paraplegic patient with hip contracture and a hostile abdomen. It also reviews the particularity of the peripheral arterial system in SCI patients.
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893706/hypertension-acute-stent-thrombosis-and-paraplegia-6-months-after-tevar-for-blunt-thoracic-aortic-injury-in-a-22-year-old-patient
#12
O Martinelli, F Faccenna, A Malaj, J Jabbour, S Venosi, R Gattuso, B Gossetti, L Irace
TEVAR is a less invasive option for managing traumatic injuries of the descending aorta in polytraumatized patients. Concerns arise when treating young patients with TEVAR. A 22-year old male was admitted to the Emergency Department following a high-impact road traffic collision. Whole body CT scan documented multiple injuries, including rupture of descending thoracic aorta just below the isthmus. There was no evidence of paraplegia or stroke. We decided to treat him in an endovascular fashion with a Zenith Cook (Cook Incorporated, Bloomington, IN) endograft...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893705/safety-and-feasibility-of-temporary-superior-vena-cava-filter-combined-with-balloon-dilatation-and-catheter-directed-thrombolysis-for-catheter-related-thrombosis
#13
Bo Zhang, Ke-Tong Wu, Yong-Jian Guo, Lin Li, Hai-Yang Lai
BACKGROUND: The objective was to evaluate the safety and feasibility of temporary superior vena cava (SVC) filter combined with balloon dilatation and catheter-directed thrombolysis for the treatment of catheter related thrombosis (CRT) caused by implanted ports. METHODS: Between February 2014 and October 2016, thirteen patients with implanted port-related CRT in internal jugular vein, brachiocephalic vein and/or subclavian vein were treated by temporary SVC filter, balloon dilatation and catheter-directed thrombolysis...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893704/late-complication-after-thoracic-endovascular-aortic-repair-what-is-a-role-of-an-open-surgical-conversion
#14
Lazar Davidovic, Milos Sladojevic, Igor Koncar, Miroslav Markovic, Tulga Ulus, Nikola Ilic, Marko Dragas, Vladimir Cvetic, Zoran Rancic
BACKGROUND: We would like to evaluate causes of Thoracic Endovascular Aortic Repair (TEVAR) failure and conversion to open surgery (COS) in high volume vascular center for open surgery, with low volume TEVAR procedures. METHODS: A total of 8 patients (6 males, mean aged 55.14 years) underwent COS after TEVAR. The indications for conversion to open surgery, intraoperative strategy, as well as early postoperative and mid follow-up results were analyzed. RESULTS: The indications for COS were persistent proximal type I endoleak with progressive aneurysm enlargement in two patients, endoleak type III in one patient, progressive aneurysm enlargement with no endoleak in one patient, stent graft migration in two patients, secondary aorto-esophageal fistula in one patient, secondary aorto-esophageal and aorto-bronchial fistula in one patient, as well as distal progression of the aneurysmal disease in 2 patient...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893703/emergent-treatment-of-ruptured-axillary-artery-aneurysm
#15
R L van der Horst, I van den Hoven, J H C Daemen
The axillary artery aneurysm (AxAAs) is a rare entity, with a diverse range of proposed etiologic mechanisms. Although usually asymptomatic, thrombo-embolic or haemorrhagic complications leave many with vascular and neurologic compromise. Both open and endovascular approaches have been reported. However, no consensus has been reached on the management of AxAAs. This case illustrates a unique emergent treatment approach for a ruptured axillary artery aneurysm, involving endovascular plugging, and immediate subsequent open hematoma evacuation...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893702/risk-factors-associated-with-perioperative-myocardial-infarction-in-major-open-vascular-surgery
#16
Danielle C Sutzko, Elizabeth A Andraska, Andrea T Obi, Peter K Henke, Nicholas H Osborne
BACKGROUND: Among patients undergoing non-cardiac surgery, major vascular surgery is associated with a high risk of perioperative myocardial infarction (MI). Currently there are no perioperative MI risk calculators accounting for intraoperative and postoperative risk factors in vascular surgery patients. We aimed to investigate specific risk factors for perioperative MI after major open vascular surgery to determine which patients are at highest risk of MI, and the association of perioperative MI with perioperative transfusion...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893701/impact-of-vascular-calcifications-on-long-femoropopliteal-stenting-outcomes
#17
Adrien Kaladji, Pierre-Alexandre Vent, Aurore Danvin, Philippe Chaillou, Alain Costargent, Béatrice Guyomarch, Thibaut Quillard, Yann Gouëffic
OBJECTIVE: Vascular calcifications (VCs) may be a prognostic factor for outcome after endovascular treatment of peripheral arterial disease (PAD). Semi-quantitative analysis with X-ray imaging is the main limiting factor for assessing VCs. The aim of the present study was to find a correlation between the amount of VC with a CT scan quantification and mid-term results of endovascular treatment of TASC C/D femoropopliteal (FP) lesions. METHODS: Patients belonging to two previously published registries (STELLA and STELLA PTX) and who underwent a preoperative CT scan were retrospectively included in the study...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28893700/comparison-of-radiation-exposure-during-endovascular-treatment-of-peripheral-arterial-disease-with-flat-panel-detectors-on-mobile-c-arm-vs-fixed-systems
#18
Marie Guillou, Blandine Maurel, Hatem Necib, Pierre-Alexandre Vent, Alain Costargent, Philippe Chaillou, Yann Gouëffic, Adrien Kaladji
PURPOSE: Flat-panel detectors on mobile C-arm (MC-arm) systems are currently challenging fixed C-arm (FC-arm) systems used in hybrid operating rooms. MC-arm systems offer an alternative to FC-arm systems in the endovascular treatment of peripheral arterial disease (PAD) but their efficiency has not been evaluated comparatively. METHODS: Two series of patients undergoing arteriography with intention to treat were included. Each series consisted of two non-randomized groups: an MC-arm group and an FC-arm group...
September 8, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28890068/is-the-endovascular-treatment-of-mild-iliac-stenoses-worthwhile-to-improve-wound-healing-in-patients-undergoing-femoro-tibial-bypass
#19
Paolo Sapienza, Luigi Venturini, Raffaele Grande, Valerio Scarano Catanzaro, Sergio Gazzanelli, Antonio V Sterpetti, Elvira Tartaglia
OBJECTIVE: After an infrapopliteal reconstruction, minor amputations are frequently required, but even in the case of successful revascularization, wound healing is a major concern. We studied the role of iliac artery inflow correction in patients undergoing infrapopliteal vein grafts to improve the heal of midfoot amputation. METHODS: Thirty-eight patients affected with Rutherford Grade III Category 5 PAD, who underwent successful simultaneous iliac endovascular procedure, infrapopliteal reversed vein bypass graft, and minor amputation, were enrolled in this retrospective study...
September 7, 2017: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/28890067/retrosternal-metastatic-papillary-thyroid-cancer-causing-superior-vena-cava-syndrome-a-very-rare-presentation
#20
Bader Hamza Shirah, Hamza Asaad Shirah, Abubaker Khalid Al Hassan, Abubaker Elamine Elnour
Thyroid cancer causing superior vena cava (SVC) syndrome is a very rare clinical entity with only 26 cases reported worldwide. Metastatic thyroid cancer causing SVC syndrome several years following resection of the primary tumor is extremely rare with only two cases reported; one of them was of the papillary variety. We report the second case worldwide of metastatic papillary thyroid cancer causing SVC syndrome two years after total thyroidectomy of the original tumor in a 62-year-old Indian female pilgrim...
September 7, 2017: Annals of Vascular Surgery
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